Premier Family Medical, Pc
LBN: Premier Family Medical, Pc
Premier Family Medical, Pc is an health care organization with primary practice located at 110 Bloomfield Ave , Caldwell NJ 07006-5336. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Premier Family Medical, Pc can be contacted via phone (973) 403-3200, or through Mazzoccoli, Vito via phone (973) 403-3200.
Contact Information
Primary practice address
110 Bloomfield Ave
Caldwell NJ 07006-5336
Phone: (973) 403-3200
Fax: (973) 403-3250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA072343 | New Jersey |
Profile Details
NPI number | 1891740643 |
---|---|
LBN Legal business name | Premier Family Medical, Pc |
DBA Doing business as | |
Authorized official | Mazzoccoli, Vito Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891740643 | NPPES |
New Jersey | MEDICAID | 0029483 |
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